Individual provider Active NPI

Rachel Suzanne Christensen, D.O

  • Pediatrics Physician
  • Lansing, MI
National Provider Identifier
1992733836
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101013810 Issued in MI
Practice address
13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906-8101
Phone
(517) 353-4000
Fax
(844) 722-4112
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101013810 MI Primary

Addresses

Primary practice location

13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906-8101

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-4000

Other practice location 1

5303 S Cedar St
Lansing, MI 48911-3800
Phone (517) 887-4305

Other identifiers 2

IdentifierTypeStateIssuer
1992733836MedicaidMI
4343540MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000355 MI Practitioner - Pediatric Medicine 0648308908 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Pediatrics CurrentSince Apr 1, 2010 Accepting new patients
Michigan State University CurrentSince Apr 1, 2010 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
County of Ingham Past Accepting new patients

Locations

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

13750 S Sedona Pkwy
Ste 2
Lansing, MI 48906
Phone (517) 353-4000

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: rachel.christensen.1@25394.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1992733836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 S SEDONA PKWY",
            "address_2": "STE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489068101",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-887-4305",
            "fax_number": "517-887-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "RACHEL",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101013810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992733836",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4343540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.